Self Declaration Form (Clearance Form)

  1. Applicant to fill in self-declaration form in duplicate (two copies).
  2. Attach the following documents:
    a) Copy of identity card or passport.
    b) KRA PIN Certificate.
    c) Academic certificates
  3. Completed form to be signed by the applicant and the signature be witnessed by a Commissioner for Oaths or Magistrate.
  4. Upon submission of the completed form, the details are verified and acknowledgment of the application is done by stamping on the copy of the application which is retained by the applicant.
  5. Completed form can be submitted in person or may be dropped on behalf of the applicant at the EACC Head Office at Integrity Centre, Nairobi or at any EACC Regional Office orHuduma Centers country wide. Please do not submit the form online.
  6. No certificate is issued; however, the Commission will submit to the employing agency/panel a confidential report on all short listed applicants.
  7. The forms can be downloaded from the Commission’s website; .

NB. It is an offence under S.46 (1) (d) of the Leadership and Integrity Act, 2012 to provide false information to the Commission which is punishable by a fine of Kshs.5 million or imprisonment for a term of 5years or both.

For any further assistance / inquiry, you may call the Commission using on contacts provided below;

Nairobi Office Mobile No.:
Mombasa Office Mobile No.:

Kisumu Office Mobile No:
Garissa Office Mobile No.:
Nyeri Office Mobile No.:
Eldoret Office Mobile No.:
0727 285663; 0733 520641
0710 768706 or Tel: 041 2319081 / 2
0715 408512 or Tel: 057 2023111
0729 480404; 0737 994444
0703 204580; 0789 665500
0703 602727; 0789 776600

Click Here to Download the Form


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